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하지 보존을 위해 Goretex Graft를 이용한 Obturator Foramen Bypass 1예
권굉보,서보양,신명준 대한혈관외과학회 1991 Vascular Specialist International Vol.7 No.1
The groin is the most common site of infection after arterial reconstructive surgery. If the anastomosis is not involved and the graft is not thrombosed, spontaneous healing of the infection may occur. In l963, Shaw and Baue described a technique for extra-anatomic bypass of the femoral triangle by tunneling a graft through the obturator foramen. In this way it is possible to restore the vacular continuity between the iliac artery or aorta above and the femoral or popliteal artery below, keeping clear of the infected area. Authors experienced one case of successful limb salvage as follows. Nine years old male patient was sustained extensive tissue and vascular injuries in the right groin by traffic accident. Extra-anatomic Goretex bypass graft was done from external iliac artery to popliteal artery via obturator foramen. The proximal and distal anastomotic sites were protected with surrounding intact muscle and tissues, but shaft of the bypass graft was exposed to air due to lack of covering muscle and skin. The exposed Goretex graft was irrigted and soaked with antibiotic solution frequently to prevent further infection. 3 months after exposure of graft bypass, the graft was occluded and removed. Afterthen, leg blood circulation was well preserved via collateral circulation.